t t t t t t t t
AND WELL DETAILED ANSWERS GRADED A+)LATEST UPDA
t t t t t t t
TE 2024/2025
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Atcondomtcathetertisttotbetusedtfortantadulttmaletclienttintthetextendedtcaretfacility.tWhichtoftthetfol
lowingttechniquestistappropriatetfortthetnursettotusetintapplyingtthetcondomtcatheter?
Selecttone:
a. Usingtsteriletgloves
b. Wrappingtthetadhesivettapetsecurelytaroundtthetbasetoftthetpenis
c. Leavingtat2.5-ttot5-cmtspacetbetweentthettiptoftthetpenistandtthetendtoftthetcatheter
d. Tapingtthettubingttightlyttotthetthightandtattachingtthetdrainagetbagttotthetbedtframet-
tCORRECTtANSWERtLeavingtat2.5-ttot5-
cmtspacetbetweentthettiptoftthetpenistandtthetendtoftthetcatheter
Thetunittmanagertistevaluatingtthetcaretoftatnewtnursingtstafftmember.tWhichtoftthetfollowingttechn
iquestistappropriatetfortthetnursettotimplementttotobtaintatclean-voidedturinetspecimen?
Selecttone:
a. Applytsteriletglovestfortthetprocedure.
b. Restricttfluidstbeforetthetspecimentcollection.
c. Placetthetspecimentintatcleanturinalysistcontainer.
d. Collecttthetspecimentaftertthetinitialtstreamtofturinethastpassed.t-tCORRECTtANSWER
Collecttthetspecimentaftertthetinitialtstreamtofturinethastpassed.
Attimedturinetspecimentcollectiontistordered.tThettesttwilltneedttotbetrestartedtiftwhichtonetoftthetfo
llowingtoccurs?
,Selecttone:
a. Thetclienttvoidstintthettoilet.
b. Theturinetspecimentistkepttcold.
c. Thetfirsttvoidedturinetistdiscarded.
d. Thetpreservativetistplacedtintthetcollectiontcontainer.t-
tCORRECTtANSWERtThetclienttvoidstintthettoilet.
Antordertistwrittentfortthetclient'stindwellingturinarytcatheterizationttotbetdiscontinued.tWhiletobser
vingtthetnewtstafftnursetprovidingtcarettotthistclienttandtimplementingtthetprescriber'storder,tthetunitt
managertdeterminestthattfurthertinstructiontabouttcathetertremovaltistrequiredtfortthetnewtnursetifthet
ortshetdoestwhichtonetoftthetfollowing?
Selecttone:
a. Drapestthetfemaletclienttbetweentthetthighs
b. Obtainstatspecimentbeforetremoval
c. Cutstthetcatheterttotdeflatetthetballoon
d. Checkstthetclient'stoutputtfort24thourstaftertremovalt-
tCORRECTtANSWERtCutstthetcatheterttotdeflatetthetballoon
Thetnursetistworkingtwithtatclienttwhothastaturinarytdiversion.tIncludedtintthetplantoftcaretfortthistcli
enttistwhichtoftthetfollowingtinstructions?
Selecttone:
a. Specialtclothingtwilltneedttotbetorderedttotfittaroundtthetdiversion.
b. Atstomaltbagtwilltneedttotbetworntonlytattnight.
c. Atreductiontintphysicaltactivitytwilltbetplanned.
d. Specialtskintcaretistatpriority.t-tCORRECTtANSWERtSpecialtskintcaretistatpriority.
Immediatelytaftertantintravenoustpyelogramt(IVP),tthetnursetshouldtobservetthetclienttfortwhichtoftthet
followingtsymptoms?
,Selecttone:
at.Infectiontinttheturinarytbladder
b. Antallergictreactionttotthetcontrasttmaterial
c. Urinarytsuppressiontcausedtbytinjuryttotkidneyttissues
d. Incontinencetastatresulttoftparalysistofttheturinarytsphinctert-
tCORRECTtANSWERtAntallergictreactionttotthetcontrasttmaterial
Thetnursetsuspectstthattthetclientthastaturinaryttracttinfectiont(UTI)tbasedtontthetclienttexhi
bitingtwhichtoftthetfollowingtearlytsignstortsymptoms?
Selecttone:
a. Chills
b. Dysuria
c. Flanktpain
d. Lowertbacktpaint-tCORRECTtANSWERtDysuria
Intdeterminingtthetclient'sturinarytstatus,twhichtoftthetfollowingtdoestthetnursetanticipatettheturin
arytoutputtfortantaveragetadulttshouldtbe?
Selecttone:
a. 800ttot1000tmLtpertday
b. 1000ttot1200tmLtpertday
c. 1500ttot1600tmLtpertday
d. 2000ttot2300tmLtpertdayt-tCORRECTtANSWERt1500ttot1600tmLtpertday
Urinaryteliminationtmaytbetalteredtwithtdifferenttpathophysiologicaltconditions.tFortthetclienttwithtdia
betestmellitus,tthetnursetanticipatestwhichtoftthetfollowingtinitialturinarytsignstortsymptoms?
, Selecttone:
a. Urgency
b. Dysuria
c. Hematuria
d. Polyuriat-tCORRECTtANSWERtPolyuria
Atpostpartumtclientthastbeentunablettotvoidtsincethertdeliverytoftatbabytthistmorning.tWhichtoftthetfo
llowingtnursingtmeasurestwouldtbetbeneficialtfortthetclienttinitially?
Selecttone:
a. Increasetthetclient'stfluidtintakettot3500tmL.
b. InserttindwellingtFoleytcatheter.
c. Pourtwarmtwatertovertthetclient'stperineum.
d. Applytfirmtpressuretovertthetclient'stbladder.t-
tCORRECTtANSWERtPourtwarmtwatertovertthetclient'stperineum.
At3-year-
oldtchildtistvisitingtthetpediatrictclinic.tThetnursetsuspectstthattthetchildthastaturinaryttracttinfectiont(
UTI).tWhichtoftthetfollowingtmethodstistappropriatetfortthetnursettotimplementttotobtaintaturinetspe
cimentfromtthetchild?
Selecttone:
a. Usetantindwellingtcatheter.
b. Offertfluidst30tminutestintadvance.
c. Applytpressuretoverttheturinarytbladder.
d. Placetatdiapertontthetchildtandtsqueezetouttthetspecimen.t-
tCORRECTtANSWERtOffertfluidst30tminutestintadvance.
Intthetassessmenttoftatclienttwithtreflextincontinence,twhichtoftthetfollowingtdoestthetnursetexpecttt
otfind?